Quality Assurance Specialist

Job not on LinkedIn

🕒 February 16

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔧 QA Engineer (Quality Assurance)

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Pennant

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

👥 B2C

🧘 Wellness

💰 $108.5M Post-IPO Equity - The Pennant Group on 2024-10

B2C • Wellness

Pennant is a healthcare organization that operates a nationwide network of locally led affiliate providers delivering healthcare-at-home and senior living services. Its affiliates offer home health, hospice, palliative care, home care, mobile primary care, and senior living options (independent living, assisted living, memory care, respite) and partner with health systems to support post-acute care transitions. Pennant also runs leadership and ownership development programs (Ascend, CEO-in-Training, CCO/CMO career paths) to grow local leaders and promote community-focused, life-changing service across its footprint of 250+ affiliate locations and operations in multiple U. S. states.

📋 Description

• Prospectively reviews all assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy • Ensures appropriate ICD-9 – ICD-10 coding and sequencing as it relates to the patient’s medical condition, including any co-morbidities • Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy • Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee • Notifies Quality Assurance and Agency Managers of problematic trends as a result of documentation review • Participates in Quality Improvement and Corporate Compliance activities as assigned • Assists with other chart audit activities as assigned

🎯 Requirements

• Active California RN or LVN license required • 1-2 years of experience of hospice clinical, coding, or billing experience required • Working knowledge of ICD-9/ICD-10 coding • Knowledge of federal regulations and state licensure requirements • Working knowledge of computer systems • Licensed driver with automobile that is in good working order and insured in accordance with organization requirements • Excellent coordination and communication skills • Detail oriented and able to work with minimal supervision

🏖️ Benefits

• Professional and technical knowledge by attending educational workshops • Review professional publications